Case Presentation: This is a 91 year old female with past medical history of basal cell skin cancer who presented and reported what was initially a solitary nodule on her scalp which rapidly progressed to multiple nodules over her head and torso. The lesions were deep red to purple and very painful. Her dermatologist had [...]

Case Presentation: A 56 year old woman who underwent right total knee replacement 11 days ago, now presented with complaints of abdominal pain and vomiting for 3 days. She was treated conservatively for suspected gastroenteritis in emergency department and discharged home. She returned the next day with worsening abdominal pain along with persistent nausea and [...]

Case Presentation: We present a case of a 43 year old Caucasian woman who initially suffered from multiple episodes of headaches. These were followed by symptoms of unilateral hearing loss. Initial ear, nose and throat evaluation was unrevealing. However with continued symptoms of hearing loss, audiometric assessments were done showing mild to moderate sensorineural hearing [...]

Introduction: Methemoglobinemia (MetHb) is an uncommon but a well‐known side effect of multiple drugs. 8 amino quinolones (Primaquine) are known to produce toxic ferric form of the hemoglobin. Primaquine is also known to inhibit the MetHb reductase enzyme. Primaquine is used in Pneumocystis cariniiProphylaxis and treatment in sulfa intolerant immuno‐compromised population. Case Presentation: Our patient [...]

Case Presentation: A 44‐year‐old Cuban immigrant with a recent diagnosis of HIV/AIDS and esophagitis due to Candida and Herpes simplex virus presented with recurrent fever, productive cough, and progressive weight loss despite recent treatment at an outside facility for necrotizing pneumonia. Exam revealed a cachectic appearance, extensive dental caries, and decreased breath sounds with scattered [...]

Case Presentation: A 67‐year‐old white male with metastatic castration‐resistant prostate cancer presented to our institution with complaints of progressive generalized weakness and muscle cramps. His history included obstructive nephropathy requiring a chronic Foley catheter. Six months prior to presentation, he was admitted to the hospital with new onset lower extremity weakness. He was then found [...]

Case Presentation: Cronkhite‐Canada syndrome (CCS) is a rare sporadic disorder comprising of generalized gastrointestinal polyps, cutaneous pigmentation, alopecia, and onychodystrophy. We present a unique case of CCS syndrome likely precipitated by mycobacterium tuberculosis (MTB) infection. A 47‐year‐old male from Marshall Islands presented with nausea, vomiting and watery diarrhea for a period of 6‐8 weeks with [...]

Case Presentation: A 36 year‐old woman with a history of acute liver failure secondary to autoimmune hepatitis, chronic diarrhea as well as cutaneous lichen planus presented with two months of severe dysdynophagia and failure to thrive. On physical exam, the patient was cachectic and had hyperpigmented, hyperkeratotic plaques on bilateral extremities and trunk. She was [...]

Case Presentation: A 79 year‐old previously healthy man presented to the emergency department in summer in Missouri with fever, myalgias, a diffuse maculopapular rash, leukopenia, thrombocytopenia, and elevated liver enzymes. A presumptive diagnosis of a tick‐borne illness was made and he was treated with doxycycline. Four days after his hospital discharge, he returned to the [...]

Case Presentation: An 84‐year‐old African American, female who has end‐stage renal disease and coronary artery disease who presented with fever, dysuria, nausea/vomiting and generalized weakness following her hemodialysis session. She denied chest pain, shortness of breath or palpitations. Patient had sepsis on admission to the medical floor,and was started empirically on IV Vancomycin and Cefepime. [...]